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Virginia rates for HCPCS 86294

Immunoassay for tumor antigen, qualitative or semiquantitative (eg, bladder tumor antigen)

Facilitymedian $27 · 10th–90th $19$1100%20%10th90th$27Professionalmedian $19 · 10th–90th $15$300%20%10th90th$19$10.0$50.0$200.0$1.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.05 / $56.23 / $104.71
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $19.05 / $23.99
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.70 / $25.70 / $109.65
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $15.49 / $19.50
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $83.18 / $123.03
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26.30 / $48.98 / $114.82
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $19.95 / $33.88
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $30.90 / $38.02
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.55 / $33.11 / $38.02
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.62 / $18.62 / $25.70
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.42 / $24.55 / $53.70
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.62 / $30.90 / $10,000.00
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.62 / $30.90 / $10,000.00
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.72 / $25.70 / $33.88
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.23 / $12.88 / $25.70